This standoff over medication ended up involving a judge, patient advocates, and the state mental health department, and it cost time. Meanwhile, an opportunity to build an alliance with the patient and learn about the important context of the hospitalization was lost. Did the patient need anything more than short-term PRN psychiatric medications? When the clinicians on the hospital team discharged him (on medications he never wanted and most likely immediately discontinued), did they send the patient back to a potentially dangerous situation where he could be beaten again? Because of their narrow focus on the symptoms in front of them, they would never know the answers to these questions.